| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,519 |
6,701 |
$362K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,826 |
2,524 |
$111K |
| 87428 |
|
1,747 |
1,593 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,261 |
1,118 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,027 |
956 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
831 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
666 |
596 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,295 |
1,171 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
377 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,003 |
2,455 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,492 |
2,258 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
927 |
411 |
$8K |
| 96127 |
|
1,406 |
1,115 |
$6K |
| 92587 |
|
697 |
620 |
$6K |
| 99177 |
|
1,335 |
1,192 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
64 |
$3K |
| 87807 |
|
315 |
301 |
$2K |
| 96160 |
|
769 |
657 |
$2K |
| 90461 |
|
1,292 |
1,145 |
$1K |
| 99050 |
|
67 |
64 |
$754.41 |
| 90688 |
|
697 |
632 |
$604.64 |
| 90651 |
|
51 |
42 |
$512.45 |
| 90670 |
|
303 |
294 |
$438.29 |
| 3008F |
|
171 |
157 |
$390.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
21 |
$380.22 |
| 87420 |
|
29 |
28 |
$237.06 |
| 90698 |
|
393 |
352 |
$216.16 |
| 96161 |
|
86 |
59 |
$182.46 |
| 90734 |
|
14 |
12 |
$111.73 |
| 90680 |
|
94 |
76 |
$87.88 |
| 90672 |
|
26 |
24 |
$77.46 |
| 85018 |
|
27 |
27 |
$37.69 |
| 82947 |
|
12 |
12 |
$28.03 |
| 90658 |
|
55 |
47 |
$21.86 |
| 81003 |
|
14 |
12 |
$15.21 |
| 36416 |
|
371 |
343 |
$1.36 |
| 90633 |
|
41 |
38 |
$0.00 |
| 90710 |
|
41 |
37 |
$0.00 |
| 90677 |
|
98 |
66 |
$0.00 |